Will early-stage cirrhosis cause lower back pain?

Written by Si Li Li
Gastroenterology
Updated on October 29, 2024
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In the early stages of cirrhosis, there are generally no specific symptoms. Some patients may experience symptoms such as fatigue, nausea, vomiting, and aversion to oily foods. Typically, symptoms do not include lower back pain. However, if lower back pain occurs, it is necessary to consider and rule out diseases that frequently cause this symptom. Firstly, conditions such as lumbar muscle strain; secondly, issues like lumbar disc herniation or lumbar spine diseases; thirdly, kidney-related diseases, such as kidney stones, etc. Therefore, it is essential to first determine the cause of the lower back pain, or from the perspective of Traditional Chinese Medicine, whether the pain is related to kidney deficiency? Then, a differential diagnosis can be made, followed by treatment. This approach will ensure more effective therapeutic outcomes.

Other Voices

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Is stool black in the early stages of cirrhosis?

In the early stages of cirrhosis, it is generally not common to see black stools. Patients in the early stages of cirrhosis may not experience complications associated with the condition, such as portal hypertensive gastropathy and esophagogastric varices, nor would they likely suffer from peptic ulcers, etc. However, if patients with cirrhosis do not actively seek treatment or undergo regular check-ups, they could develop conditions like peptic ulcers and possibly esophagogastric varices that may rupture and bleed, leading to black stools. If black stools occur, it is important to promptly complete an endoscopic examination to confirm the diagnosis. Under endoscopy, hemostatic treatment should be performed. It is also crucial to actively rehydrate, suppress gastric acid secretion, and protect the gastric mucosa among other treatments.

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Written by Wu Hai Wu
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Does early-stage liver cirrhosis cause petechiae on the skin?

In the early stages of cirrhosis, it generally does not cause petechiae on the skin. However, if the disease progresses to a later stage, the decline in coagulation function and reduction in platelets may lead to skin manifestations such as petechiae and ecchymosis. Therefore, if a patient with cirrhosis experiences petechiae in the early stages, it is important to seek further consultation at a reputable hospital's department of gastroenterology and hepatology. When necessary, a consultation at the dermatology department may also be required to complete coagulation function tests and a routine blood examination to assess the patient's condition. If the patient's condition, including the symptoms mentioned above, is due to cirrhosis, further comprehensive evaluations are needed, including gastroscopy and imaging studies of the liver, to rule out the occurrence of liver complications.

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Written by Zhang Jian Kang
Infectious Disease
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Symptoms of decompensated cirrhosis due to hepatitis B

Hepatitis B virus infection repeatedly leads to severe damage to the liver. If chronic hepatitis is not actively controlled, cirrhosis may occur. A symptom of decompensated cirrhosis mainly manifests as ascites, gastrointestinal bleeding, portal hypertension, and some people exhibit symptoms of hepatic encephalopathy. The presence of these complications indicates that the patient has reached the stage of decompensated cirrhosis. Patients in this stage often exhibit distinct jaundice, dark urine, abdominal distension after eating, and the presence of ascites with a positive shifting dullness. Additionally, some patients may experience vomiting blood, black stools, liver coma, and other related symptoms. Once these symptoms appear, it indicates that the prognosis for the patient is relatively poor.

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Written by Huang Gang
Gastroenterology
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Can early cancerous changes in cirrhosis be cured?

If the patient has early-stage cirrhosis and develops cancerous changes, there are currently many treatment methods for liver cancer due to advanced science, so there is no need for immediate worry. The treatment for liver cancer can generally involve methods like microwave therapy, anhydrous alcohol injections, or surgery, including liver transplantation. One can choose the specific treatment method based on their individual medical condition. However, if suffering from hepatitis B or C-induced cirrhosis, it is recommended to take antiviral medications while treating liver cancer. This can help control the condition and delay its progression. It is also important to closely monitor the condition with frequent check-ups. If there is a possibility of recurrence of the liver condition, it is advisable to consider surgery or a liver transplant at an early stage.

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Can alcoholic cirrhosis be contagious?

Cirrhosis caused by hepatitis formed by alcohol is not contagious in clinical settings. Contagious cirrhosis generally refers to viral hepatitis, such as hepatitis A, B, C, and E, which are infectious. Alcoholic cirrhosis, primarily caused by drinking, is not caused by viruses; hence, alcohol does not facilitate transmission between people. The common transmission modes involve fecal-oral routes, for instance, through blood and bodily fluids in hepatitis A and B. In contrast, alcoholic liver disease is relatively safe, so there is no need to worry about it being contagious.